NPI: 1295943595 · MOSES LAKE, WA 98837 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 192 | $9K |
| 2019 | 243 | $17K |
| 2020 | 225 | $13K |
| 2021 | 144 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 185 | 159 | $23K |
| D0330 | Panoramic radiographic image | 257 | 250 | $9K |
| D9222 | 148 | 146 | $7K | |
| D7240 | Removal of impacted tooth - completely bony | 43 | 13 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 171 | 168 | $5K |